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Hudita A, Radu IC, Galateanu B, Ginghina O, Herman H, Balta C, Rosu M, Zaharia C, Costache M, Tanasa E, Velonia K, Tsatsakis A, Hermenean A. Bioinspired silk fibroin nano-delivery systems protect against 5-FU induced gastrointestinal mucositis in a mouse model and display antitumor effects on HT-29 colorectal cancer cells in vitro. Nanotoxicology 2021; 15:973-994. [PMID: 34213984 DOI: 10.1080/17435390.2021.1943032] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
Colorectal cancer (CRC), is the second cause of cancer-related deaths worldwide is one of the most prevalent types of cancers. Conventional treatment continues to rely on surgery, chemotherapy, and radiotherapy, but for advanced cases, adjuvant chemotherapy remains the main approach for improving surgical outcomes and lower the disease recurrence probability. Chemotherapy-induced gastrointestinal (GI) toxicity is the main dose-limiting factor for many chemotherapeutic regimens, including 5-FU, and one of the biggest oncological challenges. Up to 40% of the patients receiving 5-FU get mucositis, 10-15% of which develop severe symptoms. In this context, our study aimed to develop a bioinspired nanosized drug delivery system as a strategy to reduce 5-FU associated side effects, such as GI mucositis. To this end, SF-based nanoparticles were prepared and characterized in terms of size and morphology, as well as in terms of in vitro antitumoral activity on a biomimetic colorectal cancer model by investigation of apoptosis, DNA fragmentation, and release of reactive oxygen species. Additionally, the capacity of the SF-based nanocarriers to offer intestinal protection against 5-FU-induced GI mucositis was evaluated in vivo using a mouse model that mimics the chemotherapy-associated gut mucositis occurring in colorectal cancer. Our studies show that silk fibroin nanoparticles efficiently deliver 5-FU to tumor cells in vitro while protecting against drug-induced GI mucositis in a mouse model.
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Affiliation(s)
- A Hudita
- Department of Biochemistry and Molecular Biology, University of Bucharest, Bucharest, Romania
| | - I C Radu
- Advanced Polymer Materials Group, University Politehnica of Bucharest, Bucharest, Romania
| | - B Galateanu
- Department of Biochemistry and Molecular Biology, University of Bucharest, Bucharest, Romania
| | - O Ginghina
- Department of Surgery, "Sf. Ioan" Clinical Emergency Hospital, Bucharest, Romania.,Faculty of Dental Medicine, Department II, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
| | - H Herman
- Institute of Life Science, Vasile Goldis Western University of Arad, Arad, Romania
| | - C Balta
- Institute of Life Science, Vasile Goldis Western University of Arad, Arad, Romania
| | - M Rosu
- Institute of Life Science, Vasile Goldis Western University of Arad, Arad, Romania
| | - C Zaharia
- Advanced Polymer Materials Group, University Politehnica of Bucharest, Bucharest, Romania
| | - M Costache
- Department of Biochemistry and Molecular Biology, University of Bucharest, Bucharest, Romania
| | - E Tanasa
- University Politehnica of Bucharest, Bucharest, Romania
| | - K Velonia
- Department of Materials Science and Technology, University of Crete, Heraklion, Greece
| | - A Tsatsakis
- Department of Toxicology and Forensic Sciences, Faculty of Medicine, University of Crete, Heraklion, Greece
| | - A Hermenean
- Institute of Life Science, Vasile Goldis Western University of Arad, Arad, Romania
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Nicolescu LC, Nicolescu CM, Mihu AG, Balta C. The effect of red blood cell transfusion on peripheral tissue oxygen delivery and consumption in septic patients. Transfus Clin Biol 2020; 28:5-10. [PMID: 33307215 DOI: 10.1016/j.tracli.2020.12.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2020] [Revised: 11/30/2020] [Accepted: 12/01/2020] [Indexed: 10/22/2022]
Abstract
OBJECTIVES The impact of blood transfusion on tissue oxygen delivery (DO2) and tissue oxygen consumption (VO2) is a subject of current clinical studies. The primary objective of this observational study is to evaluate and measure the parameters involved in determining DO2 and VO2, in early phase of septic patients. A secondary objective of this study is to assess the potential benefit of blood transfusion on tissue metabolism by serial measurements of lactic acid (Ac. Lac.). MATERIAL AND METHODS A group of 29 patients were studied, each patient received between one to three units of fresh packed red blood cells (pRBC). Clinical and paraclinical criteria for sepsis as well as the plasma value of haemoglobin (Hb) below 10g/dL represented the inclusion criteria in this study. We evaluated Hb, haematocrit (HCT), arterial blood oxigen saturation (SAO2), central venous oxygen saturation (SCVO2), parameters which are involved in determination of DO2 and VO2, before and after the transfusion of one unit of pRBC. Values of Ac. Lac. were also assessed in order to determine the type of metabolism (aerobic or anaerobic). SCVO2, SAO2, Hb, HCT and Ac. Lac. were determined using Epoc blood analyser. The cardiac output (CO) and systemic vascular resistance (SVR) were monitored during blood transfusion, using Vigileo monitor (Edward's Life Science, PreSep catheter kit). SAO2 was also monitored by pulse-oximetry. RESULTS Changes in Hb, HCT and SCVO2 before and after pRBC transfusion (which further determine VO2) were statistically significant (P<0.001). A statistically significant increase (P<0.001) was obtained in Ac. Lac. values, before and after pRBC transfusion. SAO2 and CO directly involved in producing DO2, were clinically monitored during blood transfusion and the results remained constant. CONCLUSION Results obtained in this clinical study show an increase in DO2 in critically ill septic patients and also an increase in oxygen tissue uptake which is similar to VO2, clearly pointing out the benefit of pRBC transfusion. The benefits of pRBC transfusion on tissue metabolism in critically ill septic patients remain elusive because of lactic acid values increase during and after transfusion. Based on our findings we recommend that Hb values used as a single trigger for pRBC transfusion should be further studied and that additional parameters such as SCVO2 and lactic acid should be considered as possible triggers for transfusion. Values of Hb and HCT should never be neglected.
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Affiliation(s)
- L C Nicolescu
- Department of Public Health, Faculty of Medicine "Vasile Goldis" Western University, str. Liviu Rebreanu nr.86, 310048, Arad, Romania
| | - C M Nicolescu
- Department of Anesthesia and Intensive Care, Emergency County Hospital, Str. Andreny Karoly nr. 2-4, 310037, Arad, Romania.
| | - A G Mihu
- Department of Microbiology, Faculty of Medicine "Vasile Goldis" Western University, str. Liviu Rebreanu, nr. 86, 310048, Arad, Romania; Bioclinica, str. Dreptatii nr. 23,bl. 717, 310300, Arad, Romania
| | - C Balta
- Department of Experimental and Applied Biology, "Aurel Ardelean" Institute of Life Sciences, "Vasile Goldis" Western University, str. Liviu Rebreanu, nr. 86, 310048, Arad, Romania
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Balta C, Bouwman RW, Sechopoulos I, Broeders MJM, Karssemeijer N, van Engen RE, Veldkamp WJH. Can a channelized Hotelling observer assess image quality in acquired mammographic images of an anthropomorphic breast phantom including image processing? Med Phys 2018; 46:714-725. [PMID: 30561108 DOI: 10.1002/mp.13342] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2018] [Revised: 11/20/2018] [Accepted: 11/30/2018] [Indexed: 12/28/2022] Open
Abstract
PURPOSE To study the feasibility of a channelized Hotelling observer (CHO) to predict human observer performance in detecting calcification-like signals in mammography images of an anthropomorphic breast phantom, as part of a quality control (QC) framework. METHODS A prototype anthropomorphic breast phantom with inserted gold disks of 0.25 mm diameter was imaged with two different digital mammography x-ray systems at four different dose levels. Regions of interest (ROIs) were extracted from the acquired processed and unprocessed images, signal-present and signal-absent. The ROIs were evaluated by a CHO using four different formulations of the difference of Gaussian (DoG) channel sets. Three human observers scored the ROIs in a two-alternative forced-choice experiment. We compared the human and the CHO performance on the simple task to detect calcification-like disks in ROIs with and without postprocessing. The proportion of correct responses of the human reader (PCH ) and the CHO (PCCHO ) was calculated and the correlation between the two was analyzed using a mixed-effect regression model. To address the signal location uncertainty, the impact of shifting the DoG channel sets in all directions up to two pixels was evaluated. Correlation results including the goodness of fit (r2 ) of PCH and PCCHO for all different parameters were evaluated. RESULTS Subanalysis by system yielded strong correlations between PCH and PCCHO , with r2 between PCH and PCCHO was found to be between 0.926 and 0.958 for the unshifted and between 0.759 and 0.938 for the shifted channel sets, respectively. However, the linear fit suggested a slight system dependence. PCCHO with shifted channel sets increased CHO performance but the correlation with humans was decreased. These correlations were not considerably affected by of the DoG channel set used. CONCLUSIONS There is potential for the CHO to be used in QC for the evaluation of detectability of calcification-like signals. The CHO can predict the PC of humans in images of calcification-like signals of two different systems. However, a global model to be used for all systems requires further investigation.
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Affiliation(s)
- C Balta
- Dutch Expert Centre for Screening (LRCB), Radboud University Medical Center, Wijchenseweg 101, 6538 SW, Nijmegen, The Netherlands.,Department of Radiology and Nuclear Medicine, Radboud University Medical Center, PO Box 9101, 6500 HB, Nijmegen, The Netherlands
| | - R W Bouwman
- Dutch Expert Centre for Screening (LRCB), Radboud University Medical Center, Wijchenseweg 101, 6538 SW, Nijmegen, The Netherlands
| | - I Sechopoulos
- Dutch Expert Centre for Screening (LRCB), Radboud University Medical Center, Wijchenseweg 101, 6538 SW, Nijmegen, The Netherlands.,Department of Radiology and Nuclear Medicine, Radboud University Medical Center, PO Box 9101, 6500 HB, Nijmegen, The Netherlands
| | - M J M Broeders
- Dutch Expert Centre for Screening (LRCB), Radboud University Medical Center, Wijchenseweg 101, 6538 SW, Nijmegen, The Netherlands.,Department for Health Evidence, Radboud University Medical Center, PO Box 9101, 6500 HB, Nijmegen, The Netherlands
| | - N Karssemeijer
- Department of Radiology and Nuclear Medicine, Radboud University Medical Center, PO Box 9101, 6500 HB, Nijmegen, The Netherlands
| | - R E van Engen
- Dutch Expert Centre for Screening (LRCB), Radboud University Medical Center, Wijchenseweg 101, 6538 SW, Nijmegen, The Netherlands
| | - W J H Veldkamp
- Department of Radiology, Leiden University Medical Centre, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands
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Anghel N, Herman H, Balta C, Rosu M, Stan MS, Nita D, Ivan A, Galajda Z, Ardelean A, Dinischiotu A, Hermenean A. Acute cardiotoxicity induced by doxorubicin in right ventricle is associated with increase of oxidative stress and apoptosis in rats. Histol Histopathol 2017; 33:365-378. [PMID: 28920632 DOI: 10.14670/hh-11-932] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Doxorubicin (DOX) is one of the most effective chemotherapeutic agents, but its efficiency is seriously limited by the risk of developing cardiomyopathy. The most recognized cardiotoxic effect is left ventricular (LF) dysfunction, but MRI and echocardiography data demonstrated significant right ventricle (RV) function impairment. In order to clarify this aspect, the present study investigated the potential of DOX to induce acute RV cardiotoxicity at the same time as LV impairment. Rats were intraperitoneally (i.p.) injected with a single dose of 15 mg/kg DOX. DOX-treated rats were characterized by decreased body and heart weights, elevated levels of creatine kinase (CK-MB) and lactate dehydrogenase (LDH) activities compared to controls. Biochemical analyses on RV tissue revealed that the level of malondialdehyde (MDA) was significant increased (p<0.05) and activities of catalase (CAT), glutathione reductase (GR), glutathione peroxidase (GPX) antioxidant enzymes were decreased by 13%, 27% and 18%, respectively, compared to control. Histopathogical and electron microscopic studies revealed DOX-induced damage in both ventricles and an increase of interstitial collagen fibers compared to controls (p<0.001), whereas immunohistochemical analysis showed weak and irregular desmin expression. Furthermore, mitochondrion-induced apoptotic pathways were also activated in both ventricles, as reflected by the up-regulation of Bax/Bcl-2 mRNA expression ratio (p<0.001) and increase of Bax and caspase-3 protein expression, as well as by the significant elevation of TUNEL positive nuclei, compared to controls (p<0.001). The results showed that DOX exerted RV toxic effects at the same time as those reported in the LV, which might be mediated through the mitochondrial-dependent apoptosis.
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Affiliation(s)
- N Anghel
- Department of Histology, Faculty of Medicine, Vasile Goldis Western University of Arad, Arad, Romania
| | - H Herman
- Institute of Life Sciences, Vasile Goldis Western University of Arad, Arad, Romania
| | - C Balta
- Institute of Life Sciences, Vasile Goldis Western University of Arad, Arad, Romania
| | - M Rosu
- Institute of Life Sciences, Vasile Goldis Western University of Arad, Arad, Romania
| | - M S Stan
- Department of Biochemistry and Molecular Biology, Faculty of Biology, University of Bucharest, Bucharest, Romania
| | - D Nita
- Department of Biochemistry and Molecular Biology, Faculty of Biology, University of Bucharest, Bucharest, Romania
| | - A Ivan
- University of Medicine and Pharmacy Victor Babes, Timisoara, Romania
| | - Z Galajda
- Department of Cardiac Surgery, Faculty of Medicine, Vasile Goldis Western University of Arad, Arad, Romania
| | - A Ardelean
- Institute of Life Sciences, Vasile Goldis Western University of Arad, Arad, Romania
| | - A Dinischiotu
- Department of Biochemistry and Molecular Biology, Faculty of Biology, University of Bucharest, Bucharest, Romania
| | - A Hermenean
- Institute of Life Sciences, Vasile Goldis Western University of Arad, Arad, Romania.,Department of Histology, Faculty of Medicine, Vasile Goldis Western University of Arad, Romania.
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Balta C, Herman H, Gasca I, Ardelean A, Hermenean A. Reversal of liver fibrosis by targeting TGF-β signaling pathway. Toxicol Lett 2015. [DOI: 10.1016/j.toxlet.2015.08.763] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Anghel N, Cotoraci C, Ivan A, Suciu M, Herman H, Balta C, Nicolescu L, Olariu T, Galajda Z, Ardelean A, Hermenean A. Chrysin attenuates cardiomyocyte apoptosis and loss of intermediate filaments in a mouse model of mitoxantrone cardiotoxicity. Histol Histopathol 2015; 30:1465-75. [PMID: 26112963 DOI: 10.14670/hh-11-641] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Chrysin (CHR) is a natural flavonoid and is present in high concentration in honey, propolis and many plant extracts. The aim of the present study was to evaluate the effects of CHR to reduce cardiomyocyte apoptosis and loss of intermediate filaments in a mouse model of mitoxantrone cardiotoxicity. Morphology of the cardiomyocytes was determined by optic and transmission electron microscopy and biochemistry methods. The expression of Bcl-2, Bax and Caspase-3 were assessed by immunofluorecence. Tunel assay was used to assess apoptosis in cardiomyocytes. In addition, the distribution of desmin protein was evaluated using immunohistochemistry. Our results show that MTX treatment significantly increased serum levels of creatine kinase isoenzyme (CK-MB), indicator of cardiac injury and withdrawn under CHR protection. Expression levels of Bcl-2 decreased, while those of Bax and caspase-3 increased following MTX treatment. 50 mg/kg of daily CHR intake reduced Bax and caspase-3 immunopositivity and restored Bcl-2 levels to a value comparable to the control. TUNEL (+) cardiomyocyte nuclei of MTX group showed typical signs of apoptosis which almost completely disappeared in response to 50 mg/kg CHR treatment. In parallel, an irregular distribution and a weak expression of desmin is associated with MTX induced cardiotoxic effects which was also restored by CHR treatment. In conclusion chrysin inhibits MTX-triggered cardiomyocyte apoptosis via multiple pathways, including decrease of the Bax/Bcl-2 ratio and caspase-3 expression along with preservation of the desmin disarray.
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Affiliation(s)
- N Anghel
- Department of Histology, Faculty of Medicine, Pharmacy and Dentistry, Vasile Goldis Western University of Arad, Romania
| | - C Cotoraci
- Department of Hematology, Faculty of Medicine, Pharmacy and Dentistry, Vasile Goldis Western University of Arad, Romania
| | - A Ivan
- Institute of Life Sciences, Vasile Goldis Western University of Arad, and University of Medicine and Pharmacy Victor Babes, Timisoara, Romania
| | - M Suciu
- Institute of Life Sciences, Vasile Goldis Western University of Arad, Romania
| | - H Herman
- Institute of Life Sciences, Vasile Goldis Western University of Arad, Romania
| | - C Balta
- Institute of Life Sciences, Vasile Goldis Western University of Arad, Romania
| | - L Nicolescu
- Department of Public Health and Management, Faculty of Medicine, Pharmacy and Dentistry, Vasile Goldis Western University of Arad, Romania
| | - T Olariu
- Department of Intensive Care Unit, Faculty of Medicine, Pharmacy and Dentistry, Vasile Goldis Western University of Arad, Romania
| | - Z Galajda
- Department of Cardiac surgery, Faculty of Medicine, Pharmacy and Dentistry, Vasile Goldis Western University of Arad, Romania
| | - A Ardelean
- Institute of Life Sciences, Vasile Goldis Western University of Arad, Romania
| | - A Hermenean
- Department of Histology, Faculty of Medicine, Pharmacy and Dentistry, Vasile Goldis Western University of Arad, and Institute of Life Sciences, Vasile Goldis Western University of Arad, Romania.
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Stripeli F, Logotheti I, Vraila VM, Balta C, Patsioura A, Papaevangelou V, Papadatos I, Baka A, Tsiodras S, Tsolia MN. Pandemic influenza A vs seasonal influenza A in hospitalized children in Athens. Paediatr Int Child Health 2015; 35:61-4. [PMID: 24621241 DOI: 10.1179/2046905513y.0000000111] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
BACKGROUND Data on pandemic H1N1 influenza (pH1N1) virus infection in hospitalised children are limited. AIMS AND OBJECTIVES To examine the epidemiological and clinical characteristics of children hospitalised with pH1N1 at a large tertiary-care centre in Athens and compare them with those of children hospitalised with seasonal influenza A in previous years. METHODS All children (n = 146) admitted with confirmed pH1N1 between October 2009 to February 2010 and January 2011 to May 2011 were included. Data on children ≧ 6 months of age (n = 109) were compared with those of 138 children admitted with seasonal influenza A who were examined during two previous influenza seasons (2002-2003 and 2004-2005). RESULTS The age distribution was similar between seasonal and pandemic H1N1. Bronchial asthma was significantly more common in the seasonal influenza group but the clinical presentation was similar in the two groups, except that fever was more common in patients with pH1N1. Children admitted with seasonal influenza were more likely to develop acute otitis media. There were no significant differences between the two groups for severe outcomes (admission to the ICU, mechanical ventilation or death). Only one child with seasonal influenza (0.6%) and three with pH1N1 influenza (2%) required admission to the ICU. Mean length of hospitalisation was longer in the seasonal influenza group. CONCLUSION Clinical manifestations were similar between pH1N1 and seasonal influenza, and the pandemic virus did not appear to cause more severe disease in hospitalised children.
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Cosson E, Chanu B, Nguyen M, Balta C, Balta S, Pariès J, Valensi P. O23 Valeurs diagnostique et pronostique du score de l’UKPDS, des recommandations américaines et françaises dans le cadre de la recherche d’ischémie myocardique silencieuse. Diabetes & Metabolism 2009. [DOI: 10.1016/s1262-3636(09)71715-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Cosson E, Nguyen M, Balta C, Pariès J, Valensi P. O54 Intérêt des recommandations Alfediam-SFC (RECO) sélectionnant les diabétiques à risque d’ischémie myocardique silencieuse (IMS). Une étude de suivi avec analyse des changements de pratique depuis 1992. Diabetes & Metabolism 2008. [DOI: 10.1016/s1262-3636(08)72864-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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